Description Flexible Independent Contractor (1099) Require a DC or Maryland State Medical License ABOUT MRIoA Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology-driven utilization management and
ABOUT THIS POSITIONThe Revenue Integrity Specialist position is responsible for following procedures to make corrections to client data. This position may also require cross training of services and tasks to ensure effective collaborative efforts are made between
Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the
JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through
The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical services are used efficiently and appropriately. They review medical records, treatment plans, and patient information to determine the necessity and appropriateness
Job Description Job Summary Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical
Description Flexible Independent Contractor (1099) Opportunity Oregon State Medical License Required ABOUT MRIoA Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology-driven utilization management and clinical
Description New Horizons is the largest mental health and addiction recovery provider on the Treasure Coast (and beyond), serving 15,000 children and adults annually through inpatient crisis services, 24-hour help line and mobile response team, and
Company Details Berkley Medical Management Solutions (BMMS) provides a different kind of managed-care service for W.R. Berkley Corporation. We believe focusing on an injured worker’s successful and speedy return to work is good for people and
Job Summary Senior Compliance Review Specialist Aptive is seeking a Senior Compliance Review Specialist to plan and conduct structured compliance reviews for a federal health program. The role will help validate that participating organizations, service providers, or program stakeholders
Job Summary Senior Program Review Specialist Aptive is seeking a Senior Program Review Specialist to support a federal health program involving structured review of applications, submissions, or case documentation. The role will evaluate materials for eligibility, policy alignment, completeness,
Part and Full-time roles are eligible for a $30,000 sign-on bonus — apply today to learn more! We are seeking an individual with a minimum of one year of RN experience for this role. Are you
Trust/Entity Review Specialist Department: Operations Employment Type: Full Time Location: Client Compensation: ₱60,000 - ₱75,000 / month Description The Trust and Entity Review Specialist is a critical part of the Non-Agency/Non-QM mortgage process, responsible for reviewing and validating
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the
Title: Office Operations /Institutional Review Board Compliance (IRB) Coordinator Department: PRIA Campus Location: Arnold/Main Campus Salary Range: $59,092-$73,865 Work Mode: This position requires some regular in-person presence on campus or at alternative locations, depending on business needs
Requisition ID # 173912 Job Category: Compliance / Risk / Quality Assurance Job Level: Individual Contributor Business Unit: Energy Delivery Work Type: Hybrid Job Location: Santa Rosa Department Overview The Execution performance team is a cross-functional
Job Description:The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing, and evaluating the care of patients. The staff RN utilizes the nursing process by use of technology, therapeutic
OASIS Review Coding Specialist This is a remote position that provides flexibility and control over assigned workload. The OASIS Review Coding Specialist is responsible for performing 485 Review, OASIS Review, and coding duties while providing excellent service levels deserved by
Requisition ID # 173947 Job Category: Maintenance / Construction / Operations; Information Technology Job Level: Individual Contributor Business Unit: Technology & Security Work Type: Hybrid Job Location: Oakland; Eureka; Fresno; Paso Robles; Redding; Sacramento; San Jose;
Description Summary: The SBA Eligibility Review Officer III is responsible for reviewing SBA & USDA guaranteed business loans to determine proper structure and ensure loan closes in accordance with SBA & USDA eligibility requirements. Duties and Responsibilities: